Psychotherapy intervention to reduce depressive symptoms in patients with diabetic foot syndrome

Simson, Udo; Nawarotzky, Ute; Friese, G.; Porck, Werner; Schottenfeld-Naor, Yolanda; Hahn, Sang‐Woo; Scherbaum, Werner A.; Kruse, Johannes

doi:10.1111/j.1464-5491.2007.02370.x

Cited by 73 publications

(64 citation statements)

References 29 publications

(32 reference statements)

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“…It consisted of two independent subscales (one subscale each for anxiety and depression); each subscale had seven items using a four-point Linkert scale that recorded the severity of anxiety and depression symptoms [26,27] [27][28][29][30]. Subscale scores ranged from 0 to 100, with higher scores representing a better health-related quality of life [31], and each of the 8 subscales may be relevant to diabetic patients with or without foot problems [32].…”

Section: Discussionmentioning

confidence: 99%

“…The Hospital Anxiety and Depression Scale (HADS), previously developed for use with physical illness and validated to adequately establish the severity of anxiety and depression in both primary care patients and the general population [13, 14,26]. It consisted of two independent subscales (one subscale each for anxiety and depression); each subscale had seven items using a four-point Linkert scale that recorded the severity of anxiety and depression symptoms [26,27] [27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

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Mental health issues associated with foot complications of diabetes mellitus

Hoban

Sareen

Henriksen

et al. 2015

Foot and Ankle Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Mental health issues associated with foot complications of diabetes mellitus

Hoban

Sareen

Henriksen

et al. 2015

Foot and Ankle Surgery

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“…그리고 우 울증에 걸린 당뇨병 환자는 HbA1C의 농도 조절이 더 잘 안 되고 식이요법, 운동 및 약물치료에의 순응도가 떨어진다 [4]. 결국 우울증은 당뇨병 환자의 사망률을 증가시키는 요 인이 된다 [5]. …”

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Mindfulness-Based Cognitive Therapy for Depressed Diabetic Patients

Koo

2017

J Korean Diabetes

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Diabetes is a chronic disease that requires long-term management and is accompanied by emotional stress. Psychological difficulties arising from the need for persistent self-management and difficulties due to complications related to the illness also lead to depression. Such depression results in difficulty controlling HbA1C, diet, exercise and medication. Therefore, depression management for diabetic patients is needed. Mindfulness-Based Cognitive Therapy modifies negative thinking patterns through mindfulness meditation that trains individuals to pay attention to what is and to not intentionally judge situations. This helps to ease depression and prevent a return to negative feelings. Thus, MindfulnessBased Cognitive Therapy could help with blood glucose management and the emotional stability of diabetic patients.

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“…Several treatments for comorbid depression in diabetes mellitus have been evaluated, such as counseling [22][23][24], cognitive-behavioral therapy (CBT) [25,26], antidepressant treatment [27][28][29][30][31][32] and collaborative care [33,34]. A systematic review and meta-ana lysis evaluating these randomized controlled trials (RCTs) was published in 2010 [35].…”

mentioning

confidence: 99%

Comorbid diabetes and depression: do E-health treatments achieve better diabetes control?

Feltz-Cornelis¹

2013

Diabetes Management

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SUMMARYResearch in the field of comorbid depression in diabetes shows that the optimum treatment to attain better diabetes disease control is still undecided. Although several treatment models are effective and available, interventions aimed at improving disease control, such as glycemic control, are less effective, with moderate evidence for pharmacological treatment and a lot of evidence for psychotherapy in combination with self-management techniques. New developments such as M-health and E-health are much less effective and show much less effect in terms of glycemic control than earlier developed, face-to-face psychotherapeutic treatments, and demonstrate higher mortality rates in patients with diabetes mellitus or with multimorbidity, which gives reason for caution in the evaluation, testing and implementation of E-health and M-health models in patients with diabetes and depression. Further research into blended E-health models, in which the clinical diagnostic and treatment evaluation is strongly embedded, and with a focus not only on depression treatment, but also on diabetes control and taking mortality into account as outcome, is needed. Treatment of comorbid depression in diabetes mellitus is effective in achieving improvement of depression outcomes, with the largest effects seen for psychotherapy and pharmacotherapy.However, treatment effects are inconclusive or small in terms of diabetes control; the effects of face-to-face psychotherapeutic treatment and pharmacotherapy are largest.Treatment with E-health and M-health so far shows disappointing results. Effects on diabetes control are small to nil, and mortality rates may be higher, demonstrating that newer treatments are not always better.Claims of cost-effectiveness of E-health so far have not been substantiated for this kind of treatment either and there is no basis for grand-scale implementation of E-health or M-health at the moment.Future research should be aimed at interventions combining depression treatment with treatment specifically aimed at diabetes control, taking into account not only glycemic control, but also complications and mortality, in patients with depression and diabetes.Future research should evaluate blended models combining E-health with clinical care, which may have the best potential.

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Psychotherapy intervention to reduce depressive symptoms in patients with diabetic foot syndrome

Abstract: These results indicate that psychotherapeutic intervention during in-patient treatment can have a positive influence on anxiety, depressive symptoms and diabetes-related problems in patients with diabetic foot syndrome.

Cited by 73 publications

References 29 publications

Mental health issues associated with foot complications of diabetes mellitus

Mental health issues associated with foot complications of diabetes mellitus

Mindfulness-Based Cognitive Therapy for Depressed Diabetic Patients

Comorbid diabetes and depression: do E-health treatments achieve better diabetes control?

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